all necessary measures to immediately discharge them from psychiatric institutions if there are no legal grounds for using the involuntary psychiatric care procedure. Use of restraint  In 2020, make the following changes to the instructions on the rules and procedures for the use of methods of physical restraint towards patients with mental disorders: o Define the obligation to use alternative (de-escalation) methods of physical and chemical restraint during the crisis intervention, to document the use of such methods and to justify why these methods were not effective and why it became necessary to use physical or chemical restraint o Develop detailed instructions for the implementation of physical restraint, specifying the obligation to document the bodily injuries received by the patient and/or staff during the use of physical restraint; specific characteristics of the special equipment used during the application of physical restraint; where physical restraint shall be carried out and who shall be present; what requirements shall be met by a specialized isolation ward; issues related to the use of a video surveillance system during the application of physical restraint and the obligation of staff to talk to patients after the use of physical restraint and to inform them of their right to appeal. Inter alia, develop a form of special register and the obligation to record the above data in it. Internal complaints procedure  Define by a normative act a unified internal (inside hospital) complaints review and feedback procedure for all institutions, which shall be: in line with human rights; accessible; easy; fair and transparent Psychiatric care  Provide the assessment of the needs of the patients placed in psychiatric facilities for more than 6 months in order to discharge them from the facility and refer them to the community services; devise a plan for opening a shelter in accordance with the number of future beneficiaries of the shelter  Amend the Minister's order361 so that to make it mandatory, at all stages of starting, continuing and changing treatment, to fill in a form (№IV-300-12/a) approved by Annex 13 to Order No. 108/N of the Minister of Labour, Health and Social Affairs of March 19, 2009 361 Order No. 87/n of the Minister of Labour, Health and Social Affairs of Georgia on the Approval of the Rules for Placement in Psychiatric Hospital, March 20, 2007. 118